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Records Officer Registration
Please complete the following form, then click "Next"
Salutation:
Mr.
Ms.
Miss
Mrs.
Dr.
First Name:
Middle Name:
Last Name:
Suffix:
Jr.
Sr.
II
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IV
V
E-mail Address*:
Phone:
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Fax:
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Street Address:
Address Line 2:
City, State, Zip:
Notification Method:
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Please Check One:
I am an official records officer for a governmental entity, appointed by my chief administrative officer according to UCA 63A-12-103.
I am an employee of a governmental entity, but not an official records officer.
Describe Your Role:
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